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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES $ - Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED ( B.C. R u 2 $ Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER - . l $ Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND CIRCUIT COURT OF BURNETT COUNTY <br /> BELIEF,THAT ON OR ABOUT, '$ TOTAL <br /> DAY OF WEEK DATE VIOLATION TIME ❑ AM CO TY, TWP-VILLAGE-CITY <br /> , , )—/Zr_66 Q PM eiRiti� Ai/u/V <br /> NAME /�// LAST FIRST DATE OF BIRTH AGE <br /> ,4I I=•'• �r!*�+3 d// MO. DAY YR. <br /> STREET OR ROUTE�y // (( (1�,{ �7/ (C!T /f�S C TY,STATE,ZIP CODE f `C�r� .r SEX Er M <br /> "'!. Ge'r'fr A.Z-t /,V e. I`,f• ;,�! .. V &rooF.i `r f"; re. /11/LJ JJ' i5 0 <br /> DID UNLAWFULLY C r-<:s r/c /)/r .1-; r,..1, .57. : ;_ .,✓Fc-.. WA/7iit. 35ft ci BASS I,t. <br /> ONT FI VE STATED TIME,DATE AND LOCATION,THE DEFENDANT-(DESCRIBE VIOLATION—STAT FTS)_ , <br /> i-' */C l /�G C.!6-. G U . <br /> 1., <br /> c.- r be 6„-„ 3'` t -7 <br /> ,.., rn r . 1G..S 4./C . <br /> (y <br /> in violation of section(s) �' Lf � of the ❑ 8L/t r! ' '7' "1"l'-' Ordinance <br /> and prays that he/she may be held t/o answer therefor. ❑ Burnett Co.ordinance adopting sec. <br /> Signature of Officer fes' G- -"O°`r',`"^ <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title � G�/�'t <br /> Name Title Department or Agency C.., <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT ___ ? 93, �-, .. -/4 <br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ —' / <br /> Cit-e7 4A.M. <br /> ON / C I/ .` 19—AT 11 <br /> 0 P.M. THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EVIDENCE AND <br /> BURNETT COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />